MEDICARE: MR. JOSEPH AARON BELLATTI OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1525	OK

General Provider Information

NPI Number	:	1376708883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH AARON BELLATTI OTR

Provider Business Mailing Address
First Line	:	2512 GREENFIELD DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-6526
Country	:	US
Telephone Number	:	405-612-7544
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 NW EXPRESSWAY STE 809
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5466
Country	:	US
Telephone Number	:	405-917-7160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	07/23/2008

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